The URL can be used to link to this page

PL-15-1306 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238427 Permit Number: PL-6-15-1306 Scheduled Inspection Date: July 08, 2015 Permit Type: Plumbing - Reside tial Inspector: Diaz, Osvaldo Inspection Type: U r nd Owner: CABRERA, LUIS Work Clas Ific 'on: Septic Job Address:9488 NW 2 Avenue ��305-756-4�240 Miami Shores, FL33138- Phone Number Parcel Number 1131010150320 Project: <NONE> Contractor: G&L PLUMBING SERVICE Phone: 305-551-5090 Building Department Comments PLUMBING CONNECTION FROM HOUSE TO SEPTIC Infractio Passed Comments TANK. INSPECTOR COMMENTS False Inspector Comments Passed 1:211� Failed Correction ❑ Needed Re-Inspection -� Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 07,2015 For Inspections please call: (305)762-4949 Page 40 of 52 Permit NO: PL-6-15-1306 ORES Miami Shores Village o Permit Type: Plul'1'l bing'>ReSiil�..@11�N 10050 N.E.2nd Avenue NW Work'Classification:Septic, - Miami Shores,FL 33138-0000 Per r i Permit Status:APPROVED E; at Phone: (305)795-2204 FLOiitDA Issue Date:7/6/20151 Expiration: 01/0212016 Project Address Parcel Number Applicant 9488 NW 2 Avenue 1131010150320 Miami Shores, FL 33138- Block: Lot: LUIS CABRERA r "0."' w s:.iX;nation Address Phone Cell _-1.111-11- I'll, _.,..-.. ._-1.., LUIS CABRERA 9488 NW 2 Avenue 305-756-4210 MIAMI SHORES FL 33150-1204 Contractor(s) Phone Cell Phone Valuation: $ 850.00 G&L PLUMBING SERVICE 305-551-5090 (786)225-3648 ' Total Sq Feet: p Type - '/t/ork: OLUMBING CONNECTION FROM HOUSE TO S i Available Inspections: Type of Piping: �n`�: Inspection Type: Additi: ,,�1 HRS Approval Bond Return : Final Classification: Residential Scanning:3 Review Plumbing Review Plumbing Fees flue Amount Pay Date Pay Type Aint Paid Anit Due Bon: Type-Owners Bond $500.00 Invoice# PL-6-15-55774 CCF $0.60 07/06/2015 Cash $615.10 $ 50.00 DBFR Fee $2.25 DCA Fee $2.25 06/01/2015 Cash $ 50.00 $0.00 Educa'ion Surcharge $0.20 Bond#:2780 Perr. $150.00 Scam'ig Fee $9.00 Teem -y Fee $0.80 Tory+ $665.10 In ccc aIle^ of the issuance to me of this pern, t, I agree to perform the work co�-erFd h.reimder in comp! ince with all ordinances and regulations pertai ,y thereto and in strict conformity with the plat s,drawings, statements or specifications submitted to the prof er authorities of Miami Shores Village. In acceN,. ,a ....s permit I assurne responsibility for ah , ork done by either myself, my agent.. servants, or employes understand that separate permits are requires for ELECTRICAL, PLUMBING, MECHANIC NDOWS,DOORS. ROOFING and SWIMMING POOL wor OWNERS AFFIDAVIT,:.-_I certify t alt the re ne information is accurate and that all work will be done in corn �liance with all applicable laws regulating construction anz"'in Fut l} la e the Bove-named contractor to do the work stated. Ju / 06, 2015 1 aT re: wner / Applica it / Contractor / Agent )ate Building Department Copy Jul, <, 2015 1 Miami Shores Village PFCF - ' BuildingDepartment JUNn' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FB,tC 20 (6 � BUILDING Master Permit Nopu s" [3(3(r0 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP A . , CONTRACTOR DRAWINGS JOB ADDRESS: +419 �w %� City: Miami Shores County: Miami Dade Zip: 33fyQ Folio/Parcel#:, /� ,31,] Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): /.JJIS 4ALr r.- aA6,ar- Phone#:(_?4(J)301 -.V9-q Address: -L� '00i 'P nd 4 !► City: 414Aq .Q4af-09 State: . Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ' � o hone#: C/ C�_�L,�Y✓1� � �! � P� � 1 C\ Address: 32 J ;� 5 C"-) City: I State: / Zip: Qualifier Name: t'C7 f y f r� ff Phone#: State Certification or Registration#: ( 6� �-'e'�cj k� 5 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: _ State: Zip: Value of Work for this Permit:$ C� Squa a/Linear F otage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: j'Xh i r) �-; L-� » /� E'G�� Qr� r �� ( Gt Specify oior:of color thru tile: q___ _ '►cbc>i a.z n ,,,,.. 4W4 C_ Submittal e P rmit�ee 1$G U( CC Lt V a(W�!S" Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ "'�0 - co TOTAL FEE NOW DUE$ ( ( S 1 4) (Revised02/24/2014) / 10 Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. " O CO RE RD A NOTICE OF COMMENCEMENT MAY WARNING TO OWNER. YOUR FAILURE RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7 days after the building permit is issued. In the absence of such posted notice, the inspection will not be a roved and a reinsp on fee will be charged. Sign ure Signature — �LD�4 14 R Ir az NE or AGENT tl CONTRACTOR The foregoi ' trum as acknowledged before me this The foregoing instrument was acknowledged before me this da�y1 of A461 20 , by '7 ) day of ✓UL✓ 20 l .S by U(5 •/y- C� t Pt'a who is personally known to ITT t°/ who is personally known to me or who has produced e as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: f t Print: Print: .... r ELISA L.HASSUN i°`ter p Notary Public-State of Fkride ,`•�►""" Sea I Seal: �;= Notary Public-State of Florida •e My Comm.Expires Oct 24,2015 •i My Comm.Expires Oct 24,2015 ="' °�`' Commission#EE 140836 a,� Commission#EE 140836 Bonded Through National Notary Assn. '''•° sonded_Throuqh APPROVED BY �'Z •�> Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 06-01-'15 12;26 FROM-ROYAL CARIBBEAN INS. 3056421087 T-111 P0001/0001 F-896 i4C n® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 06/0112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the polley(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTJUAN G TUNON ROYAL CARIBBEAN INS.AGENCY PHONEej,F .305-642.4541 1 FAC Nn,305-642 1087 1772 W FLA3135 STREET AObRras.LTUNONROYAL.112OGMAIL.COM MIAMI, FL 33135 INSURER(S)AFFORDING COVERAGE NAIC s INSURER A;ATAIN SPECIALTY INSURANCE CO. INSURED INSURER a:TECHNOLOGY INSURANCE CO. G&L PLUMBING SERVICE, INC. INSURER C! 13957 SW 140TH STREET INSURER D: MIAMI, FL 33186 INSURER E; INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUdD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ThV INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL BR P 41 OLN E)YP POLICY NUMBER MM/DDrVVVV Il1M/00/YVYY LIMITS A GENERAL LIABILITY CIP244332 05/03/2015 05/03/2016 EACH OCCURRENCE 5 2,000,000.00 X COMMERCIAL GENERA-L�L�IABILITY r $ 100,000.00 �- CLAIMS-MAOE F X-I OCCUR MBO BXLP(An one person) $ 55,000,00 PERSONAL ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE 5 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY GLE IT Fa arninant ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUT08 BODILY INJURY(Per accident) S HIRED AUTOS NON-OWNED —P-RRW15AMAGG AUTOS (per accidsAti $ 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS•MAOB AGGREGATE $ DED I RETENTIONS $ B WORKERS COMPENSATION AND tEMpLOVBRS'LIABILITY TWAC3469712 05/10/2015 05/10/2016 WC STATU- OTH- ANY PROPRIETOR/PARTNBR/EXECUTWE Y/N F OFFICEWMEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $ 1,000,000.00 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE S 1,000,000.00 DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ 1,000,000-00 DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES (Attach ACORO 101,Additionnl Remarks Schedule,If more space is re4uired) PLUMBING CONTRACTOR.LICENSE#CFC056765 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLA BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1050 NE 2 AVENUE ACC ANCE WITH T OLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTNORI2E PRE ENTATIVE FAX#305-756-8972 a ®19 •2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and loqo are register d mar a of ACORD L Plumbing Service Inc . 13957 SW 140" Street Miami R. 33186 305-316-9048AM ,x '^ CUPYCFC 056755 'jib \fN1 • .... ...... •••• ...... J .....� • �J Q6 �' A v '7 Kl� t Q� �L) Vol G&L Plumbing Service Inc. -.-Wool FUMING PLAM ,Approved Disapproved __ _Dam-____r